期刊论文详细信息
BMC Research Notes
Periocular cutaneous anthrax in Jimma Zone, Southwest Ethiopia: a case series
Tsedeke Asaminew1  Yeshigeta Gelaw1 
[1] Department of Ophthalmology, College of Public Health and Medical Sciences, Jimma University, PO Box: 440, Jimma, Ethiopia
关键词: Eye lid;    Zoonotic disease;    Bacillus anthracis;    Preseptal cellulitis;    Anthrax;   
Others  :  1141947
DOI  :  10.1186/1756-0500-6-313
 received in 2013-02-03, accepted in 2013-08-07,  发布年份 2013
PDF
【 摘 要 】

Background

Anthrax is a zoonotic disease caused by Bacillus anthracis. Naturally occurring human infection is rare and is generally the result of contact with anthrax-infected animals or animal products.

Case presentation

We examined three patients who had contact with presumed anthrax-infected animal and/or its product and presented with preseptal cellulitis with a localized itchy erythematous papule of the eyelid and non-pitting periorbital edema, followed by ulceration and dark eschar formation. All the three patients responded to intravenous antibiotics, and the lesion resolved leaving scars which caused cicatricial ectropion in all cases.

Conclusion

Anthrax is a rare disease but should be considered in the differential diagnosis of ulcerative (and eschar forming) preseptal cellulitis with a history of contact with anthrax-infected animals or animal products. Furthermore, cicatrization of the eyelids, one of the sequelae of periocular cutaneous anthrax, should be addressed. Urgent case report to the local zoonotic disease and infection control body and other responsible authorities is recommended.

【 授权许可】

   
2013 Gelaw and Asaminew; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150327174822726.pdf 949KB PDF download
Figure 4. 69KB Image download
Figure 3. 105KB Image download
Figure 2. 92KB Image download
Figure 1. 162KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】
  • [1]Lane HC, Fauci AS: Microbial bioterrorism. In Harrison’s principles of internal medicine. 17th edition. Edited by Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo J. New York: The McGraw-Hill Companies; 2008:1343-1352.
  • [2]Devrim I, Kara A, Tezer H, Cengiz AB, Ceyhan M, Seçmeer G: Animal carcass and eyelid anthrax: a case report. Turk J Pediatr 2009, 51:67-68.
  • [3]Lew DP: Bacillus anthracis (anthrax). In Principles and practice of infectious diseases. 5th edition. Edited by Mandell GL, Bennett JE, Dolin R. New York: Churchill Livingstone; 2000:2215-2220.
  • [4]Spencer RC: Bacillus anthracis. J Clin Pathol 2003, 56:182-187.
  • [5]Caça I, Cakmak SS, Unlü K, Sakalar YB, KadiroGlu AK: Cutaneous anthrax on eyelids. Jpn J Ophthalmol 2004, 48:268-271.
  • [6]Oncül O, Ozsoy MF, Gul HC, Koçak N, Cavuslu S, Pahsa A: Cutaneous anthrax in Turkey: a review of 32 cases. Scand J Infect Dis 2002, 34(6):413-416.
  • [7]Celebi S, Celebi H, Celiker ÜÖ, Kandemir B, Alagöz G, Esmerligil S: Anthrax as the cause of preseptal cellulitis. Acta Ophthalmol Scand 1997, 75:462-463.
  • [8]Soysal H, Kıratl H, Faruk Recep O: Anthrax as the cause of preseptal cellulitis and cicatricial ectropion. Acta Ophthalmol Scand 2001, 79:208-209.
  • [9]Yorston D, Foster A: Cutaneous anthrax leading to corneal scarring from cicatricial ectropion. Br J Ophthalmol 1989, 73:809-811.
  • [10]Martin GHB: Cutaneous anthrax in rural Ethiopia: a study of one hundred consecutive cases, their clinical features and epidemiology. Scotland: MD thesis, University of Dundee; 1977.
  • [11]Karahocagil MK, Akdeniz N, Akdeniz H, Calka O, Karsen H, Bilici A, Bilgili SG, Evirgen O: Cutaneous anthrax in eastern Turkey: a review of 85 cases. Clin Exp Dermatol 2008, 33:406-411.
  • [12]Ronaghy HA, Azadeh B, Kohout E: Penicillin therapy of human cutaneous anthrax. Curr Ther Res 1972, 14:721-725.
  • [13]Brittain CJ, Penwarden A, Mearza A, Verity D: Moraxella as a cause of necrotizing fasciitis of the eyelid. Eye 2006, 20:1312-1314.
  • [14]Kanski JJ: Clinical ophthalmology, a systematic approach. 5th edition. Edinburgh: Butterworth Heinemann, Elsevier Science Limited; 2003:9.
  • [15]American Academy of Ophthalmology: Basic and clinical science course. Orbit, eyelids, and lacrimal system: Section 7, 2004–2005. CA: San Francisco: American Academy of Ophthalmology; 2004:44.
  文献评价指标  
  下载次数:44次 浏览次数:31次